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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364830080
Report Date: 02/13/2024
Date Signed: 02/13/2024 10:51:03 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/01/2023 and conducted by Evaluator Kuliema Calloway
COMPLAINT CONTROL NUMBER: 12-CC-20231201091755
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
364830080
ADMINISTRATOR:BRIANNE HINDMANFACILITY TYPE:
850
ADDRESS:13615 BEAR VALLEY ROADTELEPHONE:
(760) 949-8539
CITY:VICTORVILLESTATE: CAZIP CODE:
92392
CAPACITY:88CENSUS: 83DATE:
02/13/2024
UNANNOUNCEDTIME BEGAN:
10:24 AM
MET WITH:Jeannettte Honnold, Site DirectorTIME COMPLETED:
11:00 AM
ALLEGATION(S):
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Allegation – Staff caused injury to child in care.

INVESTIGATION FINDINGS:
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On February 13, 2024, Licensing Program Analyst (LPAs) Calloway and Braddock made an unannounced inspection to Kindercare Learning Center. The purpose of the inspection was to deliver findings for the above allegation. LPA's met with S1 who granted access. LPA's observed 83 children and 10 staff in care.
During the investigation, LPA conducted confidential interviews. Based on the interviews and record review with staff, children, parents, and all parties involved, the evidence revealed Staff 1 caused injury to Child 1 therefore, the allegation on Personal Rights is Substantiated meaning the preponderance of the evidence standard has been met.
Per Title 22 Regulations, Division 12, Chapter 1, there is one Type B deficiency cited during this inspection for Personal Rights 101223 (a)(3). See 9099 D page.
An exit interview was conducted, and a copy of this report was read, appeal rights and a notice of site visit was provided to the Director, (S1) at the facility. A notice of site visit must remain posted for thirty (30) consecutive days. Removal of posting is subject to a $100 civil penalty.

Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Kuliema CallowayTELEPHONE: (661) 202-3381
LICENSING EVALUATOR SIGNATURE:

DATE: 02/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 12-CC-20231201091755
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 364830080
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/13/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/05/2024
Section Cited
CCR
101223(a)(3)
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101223(a)(3)Personal Rights
(a) The licensee shall ensure that each child is accorded the following personal rights: (3) To be free from corporal or unusual punishment, infliction of pain, humiliationn....This requirement was not met as evidenced by:
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Per Site Director there wil be training with all staff on how to deal with challenging behavior with the children and Director will provide proof of the training to Licensing by chosen POC date of 3/5/2024.
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Based on interviews and record review Staff 1 caused an injury to Child 1 which poses a potential health, safety, or personal rights of the persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Kuliema CallowayTELEPHONE: (661) 202-3381
LICENSING EVALUATOR SIGNATURE:

DATE: 02/13/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2024
LIC9099 (FAS) - (06/04)
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